Once a week not enough, twice a week not feasible?: A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]

Chin A Paw, Marijke, J.M., van Poppel, Mireille N.M., Twisk, Jos W. R. and van Mechelen, Willem (2006) Once a week not enough, twice a week not feasible?: A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]. Patient Education And Counseling, 63 1-2: 205-214. doi:10.1016/j.pec.2005.10.008


Author Chin A Paw, Marijke, J.M.
van Poppel, Mireille N.M.
Twisk, Jos W. R.
van Mechelen, Willem
Title Once a week not enough, twice a week not feasible?: A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]
Journal name Patient Education And Counseling   Check publisher's open access policy
ISSN 0738-3991
Publication date 2006-01-19
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.pec.2005.10.008
Volume 63
Issue 1-2
Start page 205
End page 214
Total pages 10
Place of publication Princeton, N.Y., U.S.A.
Publisher Elsevier
Language eng
Subject 1117 Public Health and Health Services
Formatted abstract
Objective
To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations.

Methods
Subjects (N = 224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round functional-skills training; (3) a combination of both; or (4) a control program. Fitness and performance measures and self-reported disability were measured at baseline and after 24 weeks intervention.

Results

Attendance to the strength training was 76%, to the functional-skills training 70% and to the combined training 73%. In those who attended at least 75% of all classes (n = 97) the functional-skills and combined training program improved several fitness and performance measures compared to the control group.

Conclusion
Twice weekly functional-skills training, or a combination of resistance and functional-skills training can improve several fitness and performance measures of institutionalised older people. Practice implications An important finding from our study was that less than twice a week exercise training is not enough for functional improvement, while it proved difficult for the elderly subjects to exercise twice weekly. Education on the health benefits of regular exercise, and a larger availability of classes in long-term care facilities may improve attendance.

Keyword Elderly
Exercise Training
Functional Performance
Adherence
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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